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Inspection Summary


Overall summary & rating

Good

Updated 16 April 2019

About the service: Copper Beeches is a care home. It does not provide nursing care. It can accommodate up to 36 people, some of whom could be using the homes ‘short stay’ or ‘interim’ beds. These were beds used to facilitate an early discharge from hospital whilst a package of care, or equipment, was being organised to enable the person to return to their own home. At the time of our inspection, there were 24 people using the service which is located in a residential area, close to the centre of Andover.

People’s experience of using this service: Risks to people’s health and wellbeing had mostly been appropriately assessed and planned for.

Planned staffing levels were usually met and overall people were having their needs met in a safe and responsive manner. The registered manager provided assurances that the numbers of staff deployed would continue to be kept under review to ensure that the deployment of staff facilitated people’s safety and preferences at all times.

Overall the management of medicines was safe although there were some areas where best practice frameworks needed to be further embedded.

Most of the home was visibly clean although we did note some areas where the infection prevention and control measures could be improved.

Accidents and incidents were documented and investigated. They were reviewed monthly for trends and patterns so that remedial actions could be undertaken.

Appropriate policies and procedures were in place which ensured staff had clear guidance about what they must do if they suspected abuse was taking place.

People's capacity to consent to their care had been appropriately assessed.

Overall assessments of people’s needs were suitably detailed and holistic.

Staff were using evidence based guidance to enhance the care provided and to achieve positive outcomes for people.

Staff had received an induction, ongoing training and supervision which helped them to perform their role effectively.

There was a clear focus on the importance of good nutrition.

Overall the design and layout of the home was homely and appropriate for people’s needs.

Where necessary a range of healthcare professionals including GP’s, district nurses, community mental health nurses, chiropodists and occupational therapists had been involved in supporting people to maintain good health.

People continued to be treated with kindness, respect and dignity and had developed strong relationships with people. Staff understood the importance of supporting people to maintain their independence.

Staff had a good understanding of people’s needs and care plans informed staff how they should support people in a way that met their likes, dislikes and preferences and of the things that were important to them.

People were supported to take part in a range of activities which supported them to lead a full and more active life.

There were systems in place to ensure complaints were investigated and responded to.

People's end of life wishes were recorded and staff had training in end of life care, which assured us people's wishes would be respected in their final days and following their death.

The registered manager managed the service well and had nurtured a positive person-centred culture within the home. They knew people well and displayed a commitment to putting person-centred care first and of trying new ways of meeting people’s needs and to improve their quality of life.

There was a clear leadership and management structure in place which helped to ensure that the service could deliver effective care and that staff at all levels were clear about their role and responsibilities.

A range of audits were being undertaken to monitor the effectiveness of aspects of the service including care documentation, infection control and medicines management. Along with other quality assurance systems, these measures demonstrated that there was a culture of developing the service and seeking continuous improveme

Inspection areas

Safe

Requires improvement

Updated 16 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 16 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 16 April 2019

The service was caring

Details are in our Effective findings below.

Responsive

Good

Updated 16 April 2019

The service was responsive

Details are in our Effective findings below.

Well-led

Good

Updated 16 April 2019

The service was well led

Details are in our Effective findings below.